Individual provider Active NPI

Diana Gonzalez, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1336792464
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003266 Issued in FL
Practice address
1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone
(941) 708-8700
NPI assigned
Jul 18, 2019
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003266 FL Primary

Addresses

Primary practice location

1312 Manatee Ave E
Bradenton, FL 34208-1358

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000356 FL Practitioner - Nurse Practitioner 8123453966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003266FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Dec 14, 2022 Accepting new patients
Health Holdings Company LLC CurrentSince Jan 20, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Dec 14, 2022 Accepting new patients
Palm Medical Centers CurrentSince Jan 20, 2025 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

11017 N Dale Mabry Hwy
Ste B
Tampa, FL 33618
Phone (813) 337-7402

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: diana.gonzalez.3@11352.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1336792464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081358",
            "telephone_number": "941-708-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.